| Julian V Deese, Md, Pllc | |
|
3209 4th St Suite 300 Longview TX 75605-5171 | |
| (903) 212-3262 | |
| Not Available |
| Full Name | Julian V Deese, Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3209 4th St, Longview, Texas |
| Authorized Official Name and Position | Julian Deese (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9032123262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julian V Deese, Md, Pllc 3209 4th St Suite 300 Longview TX 75605-5171 Ph: (903) 212-3262 | Julian V Deese, Md, Pllc 3209 4th St Suite 300 Longview TX 75605-5171 Ph: (903) 212-3262 |
| NPI Number | 1669826863 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 04/14/2016 |
| Medicare PECOS PAC ID | 6709175110 |
|---|---|
| Medicare Enrollment ID | O20160524001062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669826863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Julian Deese |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477598969 PECOS PAC ID: 2466442074 Enrollment ID: I20040515000292 |
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